Individual
TYNIA AMON KERCHEVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
491 S 338TH ST, FEDERAL WAY, WA 98003-6290
(253) 661-4466
Mailing address
16104 123RD AVENUE CT E, PUYALLUP, WA 98374-9658
(206) 293-1422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60031531
WA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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